| NPI | 1093048290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 10110) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 10110) |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2014-04-03 |